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General NPI Number Information
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NPI Number | 1003321183
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Entity Type | Organization
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Legal Business Name | MORRISTOWN MEDICAL CENTER FAMILY PRACITICE
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Dates
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Enumeration Date | 12/11/2017
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Last Update Date | 12/11/2017
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Provider Practice Location Address
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Address Line | 435 SOUTH ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6422
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Country | US
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Telephone | 973-971-4222
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 416457
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City | BOSTON
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State | MA
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Zip | 02241-6457
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Country | US
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Telephone | 844-362-1735
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Fax | 973-290-7495
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. ALENA MARIE LYTWYN
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Credential | APN, NP-C
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Telephone | 973-971-4222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 26NJ00756400
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License Number State | NJ
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